Individual provider Active NPI

Abdi Abdirashid

  • Behavior Technician
  • Saint Paul, MN
National Provider Identifier
1508620089
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
540 Fairview Ave N Ste 303
Saint Paul, MN 55104-1796
Phone
(347) 677-3941
NPI assigned
Feb 6, 2024
Sex
Male
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

540 Fairview Ave N Ste 303
Saint Paul, MN 55104-1796

Mailing address

540 Fairview Ave N Ste 303
Saint Paul, MN 55104-1796
Phone (347) 677-3941

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 6, 2024.

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1508620089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 FAIRVIEW AVE N STE 303",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551041796",
            "telephone_number": "347-677-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 FAIRVIEW AVE N STE 303",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551041796",
            "telephone_number": "347-677-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDIRASHID",
        "first_name": "ABDI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.